Individual provider Active NPI

Philip A Floyd, M.D.

  • Vascular Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1124085139
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
21042 Issued in OK
Practice address
2800 NW 63Rd St
Ste 900
Oklahoma City, OK 73116-4836
Phone
(405) 286-5557
Fax
(405) 286-5680
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 21042 OK Primary

Addresses

Primary practice location

2800 NW 63Rd St
Ste 900
Oklahoma City, OK 73116-4836

Mailing address

2800 NW 63Rd St
Ste 900
Oklahoma City, OK 73116-4836
Phone (405) 340-0511

Other identifiers 1

IdentifierTypeStateIssuer
100259640AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040419000162 OK Practitioner - General SurgeryPractitioner - General Practice 6800881905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: General Practice
Education
University of Oklahoma College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Philip a. Floyd, M.D.,P.C.Group PAC ID 7810069259, 2 clinicians

Practice addresses (Care Compare)

2800 NW 63Rd St
Suite 900
Oklahoma City, OK 73116-4836
Phone (405) 286-5557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21042OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Philip a. Floyd, M.D.,P.C. CurrentSince Dec 26, 2007 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2800 NW 63rd St
Ste 90
Oklahoma City, OK 73116
Phone (405) 286-5557

2800 NW 63rd St
Ste 900
Oklahoma City, OK 73116
Phone (405) 285-5557

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1124085139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 NW 63RD ST",
            "address_2": "STE 900",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731164836",
            "telephone_number": "405-340-0511",
            "fax_number": "405-348-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 NW 63RD ST",
            "address_2": "STE 900",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731164836",
            "telephone_number": "405-286-5557",
            "fax_number": "405-286-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "PHILIP",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OK",
            "license": "21042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100259640A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.